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CHIME syndrome is a rare ectodermal dysplasia syndrome characterized by ocular colobomas, cardiac defects, ichthyosiform dermatosis, intellectual disability, conductive hearing loss and epilepsy.
Features include always present findings: Large hands, Retinal coloboma, Seizure, and Intellectual disability and others; and very common findings: Epicanthus, Hypertelorism, Short philtrum, and Low-set nipples and others. 84 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 11 | Bilateral tonic-clonic seizure, Seizure, Gait ataxia |
Arms and legs | 6 | Large hands, Contracture of the proximal interphalangeal joint of the 5th finger, Clinodactyly of the 5th finger |
Head and neck | 6 | Cleft lip, Coarse facial features, Cleft palate |
Eyes | 5 | Strabismus, Retinal coloboma, Nystagmus |
Muscles | 4 | Low muscle tone (hypotonia), Contracture of the proximal interphalangeal joint of the 5th finger, Brain shrinkage (cerebral atrophy) |
Lab test results | 3 | Elevated circulating alkaline phosphatase concentration, Elevated circulating aspartate aminotransferase concentration, Elevated circulating alanine aminotransferase concentration |
Skin | 3 | Dry skin, Palmoplantar hyperkeratosis, Dry, scaly skin (ichthyosis) |
Bones and joints | 2 | Contracture of the proximal interphalangeal joint of the 5th finger, Joint contracture of the hand |
Lungs and breathing | 2 | Peripheral pulmonary artery stenosis, Pulmonary artery stenosis |
Heart and blood vessels | 2 | Ventricular septal defect, Subvalvular aortic stenosis |
Ears | 1 | Conductive hearing impairment |
Digestive system | 1 | Enlarged liver (hepatomegaly) |
Growth and development | 1 | Growth abnormality |
PIGL function has not been fully characterized.
CHIME syndrome is associated with mutations in the PIGL gene on chromosome 17.
Genetic testing for PIGL is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 10 always present features, 9 very common features, 36 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for CHIME syndrome.
5 publications have been identified in PubMed for CHIME syndrome. Research spans Review / Meta-Analysis (40%), Case Report / Case Series (40%), and Epidemiology / Natural History (20%).
Russo M (2025). [PMID: 40038803](https://pubmed.ncbi.nlm.nih.gov/40038803/). *Ital J Pediatr*. [Review / Meta-Analysis]
Kettler M (2025). [PMID: 40015694](https://pubmed.ncbi.nlm.nih.gov/40015694/). *J Am Acad Audiol*. [Epidemiology / Natural History]
Arany ES (2025). [PMID: 39641205](https://pubmed.ncbi.nlm.nih.gov/39641205/). *Am J Med Genet A*. [Case Report / Case Series]
Flowers LE (2024). [PMID: 38773877](https://pubmed.ncbi.nlm.nih.gov/38773877/). *Pediatr Dermatol*. [Case Report / Case Series]
Thompson MD (2024). [PMID: 38790248](https://pubmed.ncbi.nlm.nih.gov/38790248/). *Genes (Basel)*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 6:53 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about CHIME syndrome